| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,424 |
7,189 |
$219K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,704 |
2,154 |
$63K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,850 |
5,214 |
$20K |
| K0001 |
Standard wheelchair |
3,522 |
2,516 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
787 |
550 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
435 |
329 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,346 |
996 |
$4K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
32 |
26 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,672 |
1,327 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
780 |
560 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
365 |
268 |
$931.65 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
506 |
430 |
$482.81 |
| E0156 |
Seat attachment, walker |
300 |
221 |
$322.99 |
| E1392 |
Portable oxygen concentrator, rental |
335 |
297 |
$249.11 |
| A7037 |
Tubing used with positive airway pressure device |
674 |
505 |
$247.17 |
| K0003 |
Lightweight wheelchair |
55 |
55 |
$194.31 |
| A7030 |
Full face mask used with positive airway pressure device, each |
55 |
38 |
$75.04 |
| A7035 |
Headgear used with positive airway pressure device |
310 |
226 |
$59.44 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
16 |
12 |
$7.12 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
60 |
53 |
$0.00 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
56 |
39 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
54 |
40 |
$0.00 |